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Fill and Sign the 08 29 14ald Visitorsguide Pages 1 50 Text Version Form

Fill and Sign the 08 29 14ald Visitorsguide Pages 1 50 Text Version Form

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JD-1793, 09 /16 Order for Change in Placement (In-Home to In-Home Placement Only) §§48.357, 48.363, 48.365, 938.357, 938.363 and 938.365, W isconsin Statutes This form shall not be modified. It may be supplemented with additional mater ial. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY For Official Use IN THE INTEREST OF Name Order for Change in Placement (In-Home to In-Home Placement Only) Date of Birth Case No. THE COURT FINDS: 1. The child/juvenile is currently under a temporary physical custody order. dispositional order. 2. A notice of change in placement has been filed and no objection to the change in placement has been received. 3. A request for a hearing on change in placement has been filed and the hearing was held on [Date] . As to the department or agency recommendation: a. The placement location recommended by the department or agency is adopted. OR b. After giving bona fide consideration to the recommendations of the department or agency and all parties, the placement location recommended is not adopted. THE COURT ORDERS: 1. Placement in-home at 2. Transportation to the new placement shall be provided by 3. All provisions of the temporary physical custody or dispositional order not chang ed herein remain in full force and effect. THIS IS A FINAL ORDER FOR PURPOSES OF APPEAL IF SIGNED BY A CIRCUIT COURT JUDGE. BY THE COURT: DISTRIBUTION: 1. Court 2. Child/Juvenile/Attorney/Guardian ad Litem 3. Parents/Guardian 4. Legal and/or Physical Custodian/Attorney (if any) 5. Case Worker 6. Foster Home/Treatment Foster Home (if any) 7. District Attorney/Corporation Counsel 8. Other Circuit Court Judge Circuit Court Commissioner Name Printed or Typed Date

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